Hormone Optimization
Sleep that won't come. Weight that will not move.
Mood that does not feel like yours.
Your hormones are trying to tell you something.
Back to Balance
A woman's hormones are never static. They shift with every decade, every cycle, every season of life, sometimes gradually and sometimes all at once. The changes can be subtle at first. Sleep that used to come easily no longer does. Energy that felt reliable starts to waver. Mood, weight, skin, and clarity begin to feel less like yours. These shifts are not random and they are not inevitable. They are hormonal, and hormonal changes have answers.
What makes this transition so difficult is not the biology. It is the silence around it. Most providers check a single hormone at a single moment in time and call it normal. But hormones tell a story that unfolds across a full cycle, across a full day, across years of gradual change. A single number cannot capture that. The right testing can.
At Elevé, hormone care begins with curiosity rather than assumptions. We take the time to understand your full hormonal picture, your symptoms, your history, and where you are in your journey, and build a plan around what your body is actually doing. Whether you are navigating early hormonal shifts, exploring hormone therapy, or simply trying to understand why you have not felt like yourself lately, this is the care that takes you seriously.
Your hormones. Your timeline. Your care.
DUTCH Plus®
The DUTCH Plus® delivers a comprehensive picture of your hormonal health in a single 24-hour collection, using four dried urine strips and six saliva samples to measure over 35 hormones and their metabolites. It goes beyond standard hormone panels to show not just your levels of estrogen, progesterone, testosterone, DHEA, and cortisol, but how your body is actually producing, using, and clearing them, alongside markers for B vitamin status, neurotransmitter health, oxidative stress, melatonin, and gut function. What sets the DUTCH Plus® apart is the Cortisol Awakening Response, three saliva samples taken in the first hour after waking that reveal how well your stress response activates each day and how resilient your HPA axis truly is. For anyone where fatigue, burnout, and hormonal symptoms overlap, this addition changes everything. Ideal for anyone ready to go beyond surface-level hormone testing, whether you are a man, a postmenopausal woman, or someone on continuous hormone therapy whose symptoms have never been fully explained. The gold standard for fatigue, burnout, anxiety, sleep disruption, and hormonal imbalance that standard testing has failed to capture. Self-collected in the privacy of your own home. Results are reviewed in a dedicated 45 minute consultation with your Elevé provider, who walks through every relevant finding and maps a clear clinical path forward.
$1049
DUTCH Cycle Mapping™ + Plus®
The DUTCH Cycle Mapping™ Plus offers a high-definition view of your hormonal landscape, tracking estrogen and progesterone through every phase of the menstrual cycle, follicular, ovulatory, and luteal, across approximately nine targeted urine collections. Beyond the cycle map itself, it includes a full assessment of androgens like testosterone and DHEA, B vitamin status, neurotransmitter metabolites, oxidative stress, and a comprehensive single-day view of the HPA axis including the daily cortisol and cortisone rhythm. Where standard blood tests capture a single moment, this test captures the full story: the rises, the dips, the patterns, and the peaks that traditional Day 21 testing so often misses. DUTCH Cycle Mapping™ Plus goes beyond standard cycle mapping by layering in the Cortisol Awakening Response, the morning cortisol surge that reveals how well your stress response activates each day and how resilient your HPA axis truly is. For patients where fatigue, burnout, and hormonal symptoms overlap, this single addition changes everything. Ideal for cycling women whose symptoms shift throughout the month, including irregular cycles, mid-cycle spotting, hormonal migraines, severe PMS or PMDD, and fertility concerns. The gold standard for anyone who has been told their labs are normal but still feels anything but. Not intended for women currently using hormonal birth control. Self-collected in the privacy of your own home. Results are reviewed in a dedicated 60 minute consultation with your Elevé provider, who walks through every relevant finding and maps a clear clinical path forward.
$1199
Hormone Replacement Therapy
At Elevé, HRT is never one size fits all. Your protocol is built around your labs, your symptoms, and your history, with careful clinical monitoring throughout your care to ensure your levels stay in a range that feels right for you. Local estrogen options are also available for vaginal health restoration and skin rejuvenation, addressing the changes that are deeply personal and rarely discussed but significantly affect quality of life and intimacy. Because feeling well in your body at every stage of life is not a luxury, it is something you deserve. Hormone therapy at Elevé is delivered through compounding partners who specialize in bioidentical formulations, giving us flexibility in dosing, delivery method, and combination that standard commercial products simply cannot match. Whether you do best with a transdermal cream, a vaginal preparation, or an oral formulation taken at night, your protocol is designed around your biology and your life, not a one-size prescription pulled from a shelf. Monitoring is built into your care from the start. Labs are reviewed at meaningful intervals, symptoms are tracked alongside numbers, and your protocol is adjusted as your body changes, because hormones are not static and your care should not be either. The goal is not just to get your levels into a reference range, it is to find the levels where you actually feel like yourself again.
Starting at $59/month
Á la carte options to support your hormonal optimization.
DUTCH Plus® Testing | This premier hormone test provides a comprehensive analysis of sex hormones, cortisol, and their metabolites alongside the Cortisol Awakening Response for a complete picture of adrenal function and stress resilience. It also evaluates nutritional deficiencies, oxidative stress, gut dysbiosis, melatonin, and neuroinflammation. Ideal for addressing fatigue, weight gain, hair loss, mood swings, and the places where hormones and stress intersect. Done in the comfort of your home. | $650
DUTCH Cycle Mapping + Plus | This test offers a detailed view of estrogen and progesterone throughout the menstrual cycle, along with comprehensive analysis of hormone metabolites and the cortisol awakening response (CAR). This test is ideal for women experiencing ongoing symptoms like migraines, fertility issues, or PCOS. By including CAR, which measures the immediate rise in cortisol after waking, the panel provides a complete picture of hormone fluctuations, stress response, and overall resilience to stress. | $700
Personalized Daily Packs | Generic supplements treat generic problems. After completing the SpectraCell Micronutrient Panel or our signature Elevé Panel, your daily packs are built directly from your hormonal and nutritional results, targeting the exact deficiencies and imbalances your labs identified. No guesswork, no unnecessary fillers. Just exactly what your hormones need, in the doses your results actually support. | Starting at $29/month
Vaginal Estrogen Cream | Dryness, discomfort, and changes in tissue health are among the most common and least discussed consequences of estrogen decline. Local estrogen cream delivers targeted relief directly to the tissue that needs it most, restoring moisture, elasticity, and comfort without the systemic absorption of oral or transdermal therapy. Effective, well tolerated, and available at Elevé without a specialist referral. | $125/month
Low Dose Naltrexone | Low dose naltrexone works quietly at the hormonal level, modulating immune function, reducing systemic inflammation, and supporting the endocrine balance that underlies cycle regularity, mood stability, and overall hormonal resilience. For women navigating autoimmune conditions, hormonal dysregulation, or unexplained fertility challenges, LDN offers a low-risk intervention with a growing body of clinical evidence behind it. | $50/month
Metformin | Metformin has decades of data behind it as one of the most studied compounds in reproductive and hormonal medicine. At low doses it improves insulin sensitivity, reduces androgen excess, and supports the hormonal environment that regulates ovulation and cycle regularity. For women with PCOS, insulin resistance, or hormonal imbalance driving cycle irregularity, it is one of the most evidence-based tools available. | $35/month
NAD+ | NAD+ declines steadily with age, quietly reducing the cellular energy and mitochondrial function that support hormonal production, egg quality, and reproductive resilience. Replenishing NAD+ supports the biological processes that determine how well your cells produce and respond to hormones, with particular relevance for women navigating perimenopause, fertility planning, or hormonal fatigue. | Starting at $150/month
Methylcobalamin (B12) | Methylcobalamin is the form of B12 your body uses directly, no conversion required. It plays a critical role in methylation, the process your liver depends on to metabolize and clear estrogen efficiently. When methylation is sluggish, estrogen recirculates rather than clears, contributing to hormonal imbalance, mood shifts, and fatigue. Supporting this pathway is a foundational piece of hormone optimization.| $99/month